ADAM ROSS SHAPIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115107

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

ROSS

Last Name

SHAPIRA

Suffix

Business Name

ADAM ROSS SHAPIRA MD

Original Issue Date

01/13/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/30/2012